SE MN Beacon - Project Charter at a Glance Project Name: Asthma Interventions – Clinical Phase 1 (Expansion of AAP) Project Sponsor: Dr. Barbara Yawn Project Manager(s): LHart Project Team: Mayo - Dr. Junn, Dr. Erin Knoebel, Dr. Deborah McWilliams Olmsted - Dr. B.Yawn, Dr. Linda Williams, D.Lowe, Public Health – Mary Wellik, Margene Gunderson (Mower), Dan Jensen, Lois Ahern (Freeborn), Marty Aleman, Winona - Nick Modjeski, MD; MHS – TBN Start Date September 2010 End Date January 2011 Background: Asthma is estimated to occur in 7% of school-age children, although population-based prevalence studies in the REP have placed this estimate closer to 12%. The Community Collaborative Asthma Project has established cooperation among Olmsted Medical Center, Mayo Clinic, Olmsted Public Health, and the Rochester School District to identify and manage asthma cases using a shared asthma action plan. Substantial evidence links poorly controlled asthma to poor childhood school performance and, unambiguously, to poor school attendance. Project Purpose & Scope: Create an approach to share asthma action plans (AAP) from provider to home, to school. Identify current presence and utility of AAPs in existing pilot, address barriers and formulate adoption process to expand the practice of sharing AAP in the region. Objectives: 1. Understand & address barriers to AAP adoption in schools 2. Understand & address concerns of parents 3. Understand & address barriers for clinicians/clinics 4. Pilot expansion of AAPs in three counties within the Region 5. Inform IT of technical requirements for AAP document sharing & workflows Deliverables/Milestones: Sept/Oct 2010 Established cross-region asthma focus project team Sept/Oct 2010 Identify initial asthma intervention (begin with AAP) November 2010 Identify schools and health care facilities willing to participate. (Rochester #535, private (verify w/Kathy), ..Byron, Stewartville, Mower county, Freeborn County). Letter about Beacon to all 11 counties (PH engagement), additional letter to three counties on AAP project. (send letter roster to Erin to collate and send out…who all should sign?) (Marty/Erin) IRB Protocol submissions for focus groups (B.Yawn/MDH – IRB?) Identify appropriate AAPs and methods to share Identify champions in schools and healthcare sites Nov/Dec 2010 Establish process metrics / discuss outcome metrics Dec/Jan Conduct Focus Groups (nurses, parents, clinicians) Feb 2011 Train/Implement HIPAA, FERPA, and AAP processes in schools work with physicians, Asthma care managers, & clinics in process implementation Discuss longer term asthma intervention requiring widespread EHI support Mar 2011 Best practices, share information with Beacons, Jun 2011 Begin planning for further expansion & infrastructure collaboration Metrics/Goals – rates of AAPs per children w/asthma; school policies & how many followed; indicators from schools; functional – school attendance; #trips to nurses area; % kids in schools system have declared they have asthma; go back to class within X minutes after visit with the nurse vs. going home; QOL measures Last Updated: 2/17/2016 PM Project Charter at a Glance Constraints/Risks: Dependency – phased technology infrastructure; public health engagement. Potential Collaborations – Rochester school district pilot; Risk: constrained resources, tight timelines, large community; Lack of time and interest by clinical staff; Failure to identify appropriate contacts such as parent champions; Budget: Grant Funded: Dr. B.Yawn – (5%) Dr. E. Knoebel – (5%) Dr. D. McWilliams – (5%) Dr. Lowe (?%) Dr. Nick Modjeski, MD (3%/WHS) TBD – Focus Group Facilitator (X Hours) TBD – trainers/process facilitators (X hours) In Gratis: Dr. Juhn (covered by Mayo Practice) M.Wellik , M.Aleman, M.Gunderson L.Ahern, D. Jensen (Calvin Beebe, IT Liasion) Kathy Accurso 2